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,� 1534 Willow Pass Road,Pittsburg,CA 94565-1701 <br /> McCampbell Analytical, Inc. Toll Free Telephone:(877)252-9262/Fax:(925)252-9269 <br /> "When Qua(ily Counts" http://www.mccampbdI.corn/E-mail:rnala@mccampbell.com <br /> Sample Receipt Checklist <br /> Client Name: Condor Earth Technologies,Inc. Dale and Time Received: 111 4/2015 3:08:51 PM <br /> Project Name: #3151Y;PNA Login Reviewed by: Jena Alfaro <br /> WorkOrder Na: 1501373 Matrix: Soil Carrier: Daniel(MAI Courier) <br /> Chain of Custody(COCl Information <br /> Chain of custody present? Yes © No❑ <br /> Chain of custody signed when relinquished and received? Yes © No❑ <br /> Chain of custody agrees With sample labels? Yes © No❑ <br /> Sample IDs noted by Client on COC? Yes © No❑ <br /> Date and Time of collection noted by Client on COC? Yes © No❑ <br /> Samplers name noted on COC? Yes © No❑ <br /> Samole Recelot Information <br /> Custody seals intact on shipping container/cooler? Yes ❑ No❑ NA <br /> Shipping container/cooler in good condition? Yes © No❑ <br /> Samples in proper containers/bottles? Yes © No❑ <br /> Sample containers intact? Yes ® No❑ <br /> Sufficient sample volume for indicated test? Yes © No❑ <br /> Sample Preservation and Hold Time(HT)Information <br /> All samples received within holding time? Yes © No❑ <br /> Samplefremp Blank temperature Temp: 4"C NA❑ <br /> Water-VOA vials have zero headspace/no bubbles? Yes ❑ No❑ NA 91 <br /> Sample labels checked for correct preservation? YesJ❑ No❑ <br /> PH acceptable upon receipt(Metal:<2;522:<4;218.7:>8)? Yes ❑ No❑ NA <br /> Samples Received on Ice? Yes © No❑ <br /> (IceType: WETICE ) <br /> UCMR3 Samples: <br /> Total Chlorine tested and acceptable upon receipt for EPA 522? Yes ❑ No❑ NA WJ <br /> Free Chlorine tested and acceptable upon receipt for EPA 218.7, Yes ❑ No❑ NA 41 <br /> 300.1,537,539? <br /> NOTE:If the"No"box is checked,see comments below. <br /> --------------------------------------------- <br /> ------------------------- <br /> Comments: <br /> Page 14 of 14 <br />